Objectives

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1. Understand how institutions that care for children with cancer might independently address chemotherapy shortages including ethical frameworks for decision-making, institutional obstacles, consequences to patients on and off clinical trials, crucial stakeholders and prioritization of scarce drugs within institutions.

2. Consider the clinical, ethical, and legal rationales for and against coordination across institutions in coping with chemotherapy shortages.

3. Identify practical, legal, and other barriers to coordination across institutions.

4. Develop and disseminate frameworks and mechanisms for coordinating across institutions to address the problem of chemotherapy shortages.